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Online Application - De Wet De Villiers Brokers

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Contact Details
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Please enter your contact number
Please enter your mobile number
Please enter your email address
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Bike Details
Notice

Cyclesure do not insure Downhill Bicycles, contact us for more information

Please select an option above
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Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back

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Please enter the value of your bike
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Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back

Contact Me Back
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Notice

*Please note Cyclesure needs addition info if your bike model year is 2014 & older.

Click on the button bellow, if you need one of our consultants to phone you back

Contact Me Back
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Personal Accessories
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Monthly Breakdown
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Excess
  • Basic excess: 5% of claim, minimum R 250
  • Wheel excess: additional 10%
  • Additional 10% excess payable on claims within the first three months of the inception date of the policy
  • Pensioners excess: R 400

Personal Details
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Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

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Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

Click on the button bellow, and complete the contact form.

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Notice

* Thank you for your application, one of our consultants will need to contact you in order to complete the application.

Click on the button bellow, and complete the contact form.

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Full Bike Details
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Full Accessories Details
Accessory 1 Details
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Accessory 2 Details
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Accessory 3 Details
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Accessory 4 Details
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Accessory 5 Details
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Accessory 6 Details
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Policy Details
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Debit Order Authority

I authorise Cyclesure on behalf of The Hollard Insurance Company Limited, to draw on my account at the under mentioned institution in any manner agreed on between Cyclesure and such institution, the amount of the premium payable, and request the aforesaid institution to debit my account with all debits drawn against it by Cyclesure. All such withdrawals from my bank account by Cyclesure shall be treated as though they had been signed by me personally.

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Policy Benefit Fee

I consent to the Cyclesure Policy Benefit Fee as indicated on the quotation and policy schedule, already included in the total monthly premium to be deducted from my account. The fee will be charged based on configuration of multiple products which we have compounded into a single policy to save on debit order charges. Assistance with determining accurate second hand values to insure bicycles on a pre-agreed value.

Policy Terms & Conditions
  • In order to be covered for theft the bicycle must be locked onto an immovable object when not in use.
  • In order to be covered for theft from a vehicle there must be clear signs of forced entry.
  • In order to be covered for theft from where you are residing there must be clear signs of forced entry.
  • In order to be covered for theft or damage in transit the bicycle must be locked to the bike caddy and the caddy must be bolted or locked onto the vehicle.
  • International cover to commence 3 months after inception date.
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